| Jackson Madison County Regional Health Department | |
|
804 N Parkway Jackson TN 38305-3058 | |
| (731) 423-3020 | |
| (731) 927-8601 |
| Full Name | Jackson Madison County Regional Health Department |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 804 N Parkway, Jackson, Tennessee |
| Authorized Official Name and Position | Quill James Brabham (PUBLIC HEALTH REPRESENATIVE) |
| Authorized Official Contact | 7314233020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Madison County Regional Health Department 804 N Parkway Jackson TN 38305-3058 Ph: (731) 423-3020 | Jackson Madison County Regional Health Department 804 N Parkway Jackson TN 38305-3058 Ph: (731) 423-3020 |
| NPI Number | 1265700637 |
|---|---|
| Provider Enumeration Date | 12/13/2011 |
| Last Update Date | 12/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265700637 | NPI | - | NPPES |
| 4448133 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | 0157449RE (Tennessee) | Primary |
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